ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT U NANG GIÁP LƯỠI THỂ LƯỠI TẠI BỆNH VIỆN TAI MŨI HỌNG TRUNG ƯƠNG TRONG GIAI ĐOẠN 2022-2025

Abstract

Objective: To evaluate the surgical outcomes of lingual thyroglossal duct cysts (LTGDC) at the National Otorhinolaryngology Hospital during the period 2022–2025. Methods: A descriptive interventional case series was conducted on 27 patients with LTGDC who underwent surgery via either the Sistrunk technique or a transoral approach. Variables included age, sex, clinical symptoms, MRI findings, operative time, intraoperative blood loss, complications, recurrence, and scar assessment. Results: Compared to the Sistrunk procedure, the transoral approach was associated with a significantly shorter operative time (46.8 minutes vs. 77.1 minutes; p = 0.012), significantly less blood loss (6.0 mL vs. 28.9 mL; p < 0.001), and no recorded complications. The recurrence rate in the Sistrunk group was 5/22 (22.7%), mainly in patients with a history of chronic inflammation. Aesthetic outcomes assessed using the POSAS score showed that 86.4% of scars were rated as good. MRI proved valuable in guiding the choice of surgical approach. Conclusion: The overall recurrence rate after surgery for LTGDC was 8/27 (29.6%), higher than international reports, with 5/22 cases in the Sistrunk group and 3/5 cases in the transoral group. All six recorded complications occurred in the Sistrunk group. Both techniques were relatively safe; however, the transoral approach demonstrated significant advantages in cosmetic outcomes, fewer complications, and faster recovery, making it a promising option for managing LTGDC.